Re: Intravesical rAd-IFNα/Syn3 for Patients with High-Grade, bacillus Calmette-Guerin-Refractory or Relapsed Non-Muscle-Invasive Bladder Cancer: A Phase II Randomized Study
Autor: | Brant A. Inman, Michael Woods, Kenneth Ogan, Robert L. Grubb, Robert S. Svatek, David Sawutz, Leonard G. Gomella, F. Peter Treasure, Yair Lotan, Lawrence Karsh, Trinity J. Bivalacqua, Seth P. Lerner, Neal D. Shore, Stephen A. Boorjian, Nigel Parker, Alan Boyd, Matthew I. Milowsky, Daniel J. Canter, Tracy M. Downs, Tracey L. Krupski, Gillian Gregory, Seppo Ylä-Herttuala, Colin P.N. Dinney, Ashish M. Kamat |
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Rok vydání: | 2018 |
Předmět: |
Male
Cancer Research medicine.medical_treatment 030232 urology & nephrology Phases of clinical research Disaccharides law.invention Neoplasm Recurrence 0302 clinical medicine Randomized controlled trial law Fatigue Aged 80 and over ORIGINAL REPORTS Middle Aged Recombinant Proteins Administration Intravesical Treatment Outcome Oncology 030220 oncology & carcinogenesis BCG Vaccine Female medicine.symptom Erratum Non muscle invasive medicine.drug medicine.medical_specialty Recombinant Fusion Proteins Urology Genetic Vectors Alpha interferon Interferon alpha-2 Adenoviridae Cystectomy 03 medical and health sciences Refractory medicine Nocturia Dysuria Humans Neoplasm Invasiveness Adverse effect Interferon alfa Aged Bladder cancer business.industry Interferon-alpha Cholic Acids Genetic Therapy medicine.disease Urination Disorders Surgery Urinary Bladder Neoplasms Drug Resistance Neoplasm Neoplasm Grading Neoplasm Recurrence Local business BCG vaccine |
Zdroj: | Journal of Urology. 200:1164-1164 |
ISSN: | 1527-3792 0022-5347 |
Popis: | Purpose Many patients with high-risk non–muscle-invasive bladder cancer (NMIBC) are either refractory to bacillus Calmette-Guerin (BCG) treatment or may experience disease relapse. We assessed the efficacy and safety of recombinant adenovirus interferon alfa with Syn3 (rAd–IFNα/Syn3), a replication-deficient recombinant adenovirus gene transfer vector, for patients with high-grade (HG) BCG-refractory or relapsed NMIBC. Methods In this open-label, multicenter (n = 13), parallel-arm, phase II study ( ClinicalTrials.gov identifier: NCT01687244), 43 patients with HG BCG-refractory or relapsed NMIBC received intravesical rAd–IFNα/Syn3 (randomly assigned 1:1 to 1 × 1011 viral particles (vp)/mL or 3 × 1011 vp/mL). Patients who responded at months 3, 6, and 9 were retreated at months 4, 7, and 10. The primary end point was 12-month HG recurrence-free survival (RFS). All patients who received at least one dose were included in efficacy and safety analyses. Results Forty patients received rAd–IFNα/Syn3 (1 × 1011 vp/mL, n = 21; 3 × 1011 vp/mL, n = 19) between November 5, 2012, and April 8, 2015. Fourteen patients (35.0%; 90% CI, 22.6% to 49.2%) remained free of HG recurrence 12 months after initial treatment. Comparable 12-month HG RFS was noted for both doses. Of these 14 patients, two experienced recurrence at 21 and 28 months, respectively, after treatment initiation, and one died as a result of an upper tract tumor at 17 months without a recurrence. rAd–IFNα/Syn3 was well tolerated; no grade four or five adverse events (AEs) occurred, and no patient discontinued treatment because of an adverse event. The most frequently reported drug-related AEs were micturition urgency (n = 16; 40%), dysuria (n = 16; 40%), fatigue (n = 13; 32.5%), pollakiuria (n = 11; 28%), and hematuria and nocturia (n = 10 each; 25%). Conclusion rAd—IFNα/Syn3 was well tolerated. It demonstrated promising efficacy for patients with HG NMIBC after BCG therapy who were unable or unwilling to undergo radical cystectomy. |
Databáze: | OpenAIRE |
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